KENNETH LEROY GREEN NPI 1699310466

NPI Information

  • NPI: 1699310466
  • Provider Name: KENNETH LEROY GREEN
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 7939 W GULF TO LAKE HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 257-7874

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NPI Details

Kenneth Leroy Green is a durable medical equipment medical supplies in Crystal River, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Kenneth Leroy Green NPI is 1699310466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7939 W GULF TO LAKE HWY
CRYSTAL RIVER, FL
ZIP 34429-931
Phone: (352) 257-7874

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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